Organization
HOLLY GIBBONS LMHC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GIBBONS (REGISTERED AGENT)
(407) 883-1891
Entity
Organization
Contact information
Practice address
345 SAMUEL ST, DAVENPORT, FL 33897-6218
(407) 883-1891
Mailing address
345 SAMUEL ST, DAVENPORT, FL 33897-6218
(407) 883-1891
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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